Formal Application Form

RAVENSBOURNE COLLEGE OF DESIGN AND COMMUNICATION ACADEMIC & PROFESSIONAL PERSONAL DEVELOPMENT Application for Funding/Support for Further/Higher Study Please ensure that you have read the guidance document: Academic & Professional Personal Development REF: RCFS prior to completing you application. Personal Details Name: Job Title: Monday Department/Faculty Wednesday Number of taught hours per week: Friday Full time/ Part time: Are you recognised as being Higher Education Academy accredited or have Qualified Teacher Status? (Please tick as appropriate) YES NO Accreditation status Accreditation Date: Associate Fellow Senior Fellow Thursday Tuesday Which days do you work /teach (Please indicate by ticking as required) Has your request to undertake the Formal Qualification been identified on your appraisal? (Please delete tick as appropriate) Date of last Appraisal (DD, MM,YY) Line Manager (Name) Formal Qualification Details Please specify institution/s offering course or qualification: Please provide alternative choices where appropriate in order of preference 1st, 2nd, 3rd (Explain preference in notes box) 1st – Name of Institution: Title of Course: Course Duration: Start date of course: Name & role of contact: Email address: Telephone number: Note: (maximum100 words) Course Leader: (Name) Course Cost Course cut off date: Yes No D:\Docstoc\Working\pdf\27fe2c78-1b51-41be-b2a9-9f35a582a3bf.doc 3.26 1 RAVENSBOURNE COLLEGE OF DESIGN AND COMMUNICATION 2nd – Name of Institution: Course Leader: (Name) ACADEMIC Title of Course:& PROFESSIONAL PERSONAL DEVELOPMENT Application for Course Cost: Funding/Support for Further/Higher Study Course duration: Course cut off date: Start date of course: Relevance of qualification to current Job Role: (maximum100 words) Name & role of contact: Email address: Telephone number: Notes: (maximum100 words) 3rd – Name of Institution: Title of Course: Course duration: Name & role of contact: Email address: Telephone number: Notes (maximum100 words) Course Leader: (Name) Course Cost: Course cut off date: Ravensbourne College: Relevance of qualification to current job role, personal development, & college strategic development: Notes: (maximum100 words) Relevance of obtaining qualification to College Strategic Plan: Please specify in Notes box: Notes: (maximum 100 words) D:\Docstoc\Working\pdf\27fe2c78-1b51-41be-b2a9-9f35a582a3bf.doc 3.26 2 RAVENSBOURNE COLLEGE OF DESIGN AND COMMUNICATION Is this course available at the College: ACADEMIC & PROFESSIONAL PERSONAL No DEVELOPMENT Application for (Please tick as required): Yes Funding/Support for Further/Higher Study If YES, please state below in the notes box as to why you have requested to enrol on an external course. Notes: (maximum 100 words) Have you attached your Personal Development Action Plan Please tick as required. YES NO If you have selected NO, you are required to complete the Reference document Manager/Staff Personal Development Plan prior to submitting your application If you have any additional information or would like additional support to be considered with your application, please stipulate as required in the notes box below Notes: (maximum 120 words) Name of Applicant: Date application submitted to Training Officer: Comments: Signature: Training Officer: Date application received: Comments: Signature: D:\Docstoc\Working\pdf\27fe2c78-1b51-41be-b2a9-9f35a582a3bf.doc 3.26 3 RAVENSBOURNE COLLEGE OF DESIGN AND COMMUNICATION ACADEMIC & PROFESSIONAL PERSONAL DEVELOPMENT Application for Funding/Support for Further/Higher Study Panel Members Document (DETACH): Chair Member (Name): Date: Comments on behalf of panel: Signature: Title of course selected by Panel Members: Name of Institution offering course: Approved YES NO Date of decision: If you have selected NO comments are mandatory for feedback to applicant. Confirm Agreement for Study Leave Comments: I can confirm that measures have been taken to ensure (Name) (Role) is fully covered whilst they are undertaking ………………….……………from……………….to ……………….. I fully support this qualification as part of my contribution to staff development. Head of Faculty / Departmental Director (Name) Date Signature: D:\Docstoc\Working\pdf\27fe2c78-1b51-41be-b2a9-9f35a582a3bf.doc 3.26 4 RAVENSBOURNE COLLEGE OF DESIGN AND COMMUNICATION ACADEMIC & PROFESSIONAL PERSONAL DEVELOPMENT Application for Funding/Support for Further/Higher Study Repayment of Degree/Qualification Fees The cost of the course may be reclaimed from the individual in the following circumstances; however, this will be assessed on a case by case basis under the circumstances listed below:     If staff fail to complete the course If staff are withdrawn from the course by the institution. If staff fail to attend classes as required If staff leave the College within 5 years The amount to be repaid will be calculated on a declining scale, as set out below. Duration of Service Leaving within 1 year of completing the course Leaving between 1 and 2 years of completing the course Leaving between 2 and 3 years of completing the course Leaving between 3 and 4 years of completing the course Leaving between 4 and 5 years of completing the course Repayment 50% 40% 30% 20% 10% However, you will not be required to make any repayment if you received the training as part of a group of three or more receiving simultaneous training, if the College has specifically asked you to attend an event or if, following your training, the College terminates your employment through no fault of your own (for example, on grounds of redundancy). By default, staff signing the application form agree to these rules governing repayment of Degree/Qualification fees. Staff also agree that if they do not promptly comply with these rules, the sum due to the College may be recovered in accordance with clause 8.1 of your contract of employment. It may alternatively be recovered through the civil courts, as a debt. D:\Docstoc\Working\pdf\27fe2c78-1b51-41be-b2a9-9f35a582a3bf.doc 3.26 5

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